HomeMy WebLinkAbout3661 Garland StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: *SAME DAY PERMIT*
Date: Thursday, April 7, 2022 10:25:53 AM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
*SAME DAY PERMIT*
This application is exclusively for Same Day Permits submitted on Thursdays and
Fridays(except holidays) between 9am-11am.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is the property Residential
Residential or
Commercial?
Property Address 3661 Garland Street Wheat Ridge, CO 80033
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Michal Ann Haywood
918BII:11.2.1CIV"
Property Owner Email hayhess@aol.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - **DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Electron ic-Payment-Form. odf
APPLICANT INFORMATION
Applicant Name Joseph Huerta
What is your role in the General Contractor
project?
Contractor's,
Architect's, Others
Name
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Farrington Construction Management
PAto] LOW
Contact Phone Number 719-314-9311
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address joseph@farringtonconstruction.com
Retype Contact Email
Address
Check the appropriate
boxes if the following
work is involved in the
project.
joseph@farringtonconstruction.com
Plumbing
Plumbing Contractor Giovannis Drains & Repairs
Name
Plumbing Contractor
License Number (This
is a 5 or 6 digit number
for the City of Wheat
Ridge)
Are there any
ADDITIONAL Sub
Contractors associated
with this project?
How many
ADDITIONAL Sub
Contractors would you
like to add to this
permit?
120127
Yes
1
Sub Contractor 1 SkyTec Global
Name
Sub Contractor 1 Denver
License Number (This
is a 5 or 6 digit number
for the City of Wheat
Ridge)
DESCRIPTION OF WORK
Choose the type of
Basement Finish (non-structural), Interior remodels without
permit you are applying
structural or if structural stamped engineered plans/ details,
for. If It Is not listed
Bathroom remodels nonstructural or if structural stamped
then It Is not eligible for
engineered plans/ details
a Same Day Permit.
Detailed Scope of
Home incurred a water loss. Farrington Construction will replace
Work - Provide a
drainage that needs repair along with relocation. Water damaged
detailed description of
framing (non-structural) will be replaced. Insulation, drywall, and
work Including
completion of finish work.
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
Square footage of
714.99
scope of work
Location of work
Basement
(backyard, on roof, etc)
Project Value (contract
44,966.05 Valuation Okay
value or cost of ALL
materials and labor)
Upload Engineer letter
Field not completed.
Upload Asbestos Field not completed.
Report if triggler level is
met per CDPHE
regulation.
Upload Documents Review Fee Receiot.odf
Upload Additional
Drawings
Upload Additional
Drawings
Field not completed.
Upload Additional Field not completed.
Drawings
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I certify that I all Sub Yes
Contractors performing
work on this project,
have been notified and
agree to be listed on
this permit.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Joseph Huerta
Pe rm it
Email not displaying correctly? View it in your browser.
From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Asbestos Abatement
Date: Thursday, March 31, 2022 2:15:02 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Asbestos Abatement
This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
residential asbestos
abatement?
Provide copy of
CDPHE State Permit or
Stamped Approved
CDPHE State Permit
Application
3661 Garland St- approved SEK.odf
PROPERTY INFORMATION
Property Address 3661 Garland Street
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Michal Ann Haywood
918BII:11.2.1EIV"
Property Owner Email heyhess@aol.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
Electron ic-Payment-Form. odf
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
ALM Abatements Inc
Name
Wheat Ridge
170697
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-242-9043
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
jwoodard@almabatements.com
Address
Retype Contractor
jwoodard@almabatements.com
Email Address
DESCRIPTION OF WORK
State Permit No. or
10/28/2021 SEK
Application Approval
Date with Initials of
CDPHE Employee
approving application.
Location of Abatement
Basement Popcorn Ceiling Texture, floor tile, drywall
Square Footage Area
128 SF tile, 446 SF popcorn Texture, 406 SF drywall
of Abatement
Has the abatement
Yes
been completed
If abatement has been
1121-14 - Haywood - Post -Abatement Clearance Report for 3661
completed, upload the
Garland St Wheat Ridge CO pdf
clearance report.
Project Value (contract
17,277.61
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for James Woodard
Pe rm it
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Email not displaying correctly? View it in your browser.
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: �,Q t `Z C) (0 S!ADDRESS: JOB CODE: �`�
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
AL
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: Z01 Z 0'1 o5 11 ADDRESS
JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning"
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works'`*
413 Flood plain Inspection'''s
414 Fire Insp. / Fire Protection's**
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
`7
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L/ 0 9 - '1 " , > f
Job Address: 3 & i ) C, , , S T
Permit Number: 2 0) -7 o R 0 S 9
❑ No one available for inspection: Time ':25 IPM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: / /Is? Inspector: `-M
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3 o 4 - /11 , d
Job Address: _3,&1,i Car n o S4 -
Permit
4 -
Permit Number: -jo 1-7 c 90 Sri
❑ No one available for inspection: Time1 0� = Of AN M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date:./ �/q_lnspector: I0�
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201709059
PERMIT NO: 201709059 ISSUED: 11/15/2017
JOB ADDRESS: 3661 Garland ST EXPIRES: 11/15/2018
JOB DESCRIPTION: Permit to install 19 squares 4/12 pitch asphalt shingles
*** CONTACTS ***
OWNER (303)818-8146 HAYWOOD MICHAL ANN
SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201709059
201709059 ISSUED: 11/15/2017
3661 Garland ST EXPIRES: 11/15/2018
Permit to install 19 squares 4/12 pitch asphalt shingles
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the roperty and am
authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attesthat I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all wbe performed is disclosed in this document apd/or its' accompanying approved plans and specifications.
Signature 5P110ANER or CONTRACTOR (Circle one) abate r
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior andspecific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any ordinance or regulation�,£.tl.�is jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, November 14, 2017 8:58 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Antoinette
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
3661 Garland st
Michal Haywood
Property Owner Phone 303-818-8146
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
freddygreen@advancedexteriors.net
Yes
WR.JPG
CONTRACTOR INFORMATION
Contractor Business advanced exteriors
Name
Contractor's License 090134
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3037254502
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 2200 S VALLEY HIGHWAY
(Primary address of your
business)
Contractor Email Address freddygreen@advancedexteriors.net
Retype Contractor Email freddygreen@advancedexteriors.net
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
19
1
No
Pitched roof (2:12 pitch or greater)
6
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 19
part of the PITCHED
roof?
Describe the roofing shingles
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof.
Provide any additional house
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
7
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Freddy Green
Email not displaying correctly? View it in your browser.
ADV IvED Advanced Exteriors Inc. ``
EXTERIORS
Tear off ) layer s) of composition, &_layegs) cif
Inspect decking ❑ Install decking
install ice and water shield on -.5
Install 15 # felt ® Install 30 # felt
Install premium synthetic, deck protectionte
install starter coarse of shingles -entire perimeter „
Install drip edge perimeter flashing - color
Install reinforcement in valleys using .�
Closed valleys ❑ Open valleys
Replace step flashing on sidewalls, chimney and skylights
Install 6 nails per shingle throu pout field area
Roofing product
Roaring color
Manufacturer Warranty _ t
❑ special Instructions/Additional
W
❑ Standard ridge ❑ High profile ridge
Install ridge vent
❑ Install turtle vents Install , vents
® Install pipe jack flashings M install furnace caps
Paint jacks/stacks to match roofing calor
Detach and reset
❑ Remove and cover
❑ install beauty course of ridge shingles on headwalls
Detach and reset satellite ❑ remove satellite
Clean up & remove trash ❑ Sweep with magnetic'roller
[ Clean out gutters ❑ Provide building permit
Register "_-- > t� Manufacturer Warranty
Advanced Exteriors, Ino. Five Year roofing Labor Warranty
Advanced Exteriors, Inc, $2:000,000 Liability Insurance
Approximate Date(s) of Service: e PaymentTerms:
t
(Advanced Exteriors, Inc, is not responsible for any property and casualty insurance carrier's delay or denial of
an insurance claim, in whole or in part).
Work completed in accordance with these specifications far the price of: $
Dollars
❑ The properly owner(s) ("Customer") authorizes Advanced Exteriors, Inc, ("Company") to work with their insurance carrier to obtain the full scope of
repairs necessary for restoration of storm damage. Ti cis 'Agreement is not binding upon Customer ar Company until the insurance carrier approves
Customer's clair n and this amount is accepted by Company, Upon acceptance by Company, the amount approved by the insurance carrier will
become the final contract price and Company will receive the insurance ;proceeds for work It has completed The Company will complete specified
wc)rk for no additional cost to Customer beyond the agreed claim amount except for the insurance deductible,
Customer is Eli is not ❑ intending fo make pcwment from the proceeds of a property and casualty insurance policy. If Customers payment is from an
Insurance chim, then pursuant to Coorado law Company (roofing contractor) "shall not advertise or promise to pay, waive, or relate all or part of any
Insurance deductible applicable to the claim far payment for roaring work on the covered residential properly," C,r,S, § 6-22-105. The Company shall
hold in trust any r-oyment received from Customer, until Company has delivered the roofing materials -o Customers properly or when Company has
performed a majority of the roofing work on Customers property.
notice11Y signing below I (We) agree to all contract conditions on front and back of this agreement, and have been provideW
of ,ght to cancel bottI in writing • #: orally,
Customer
{
W
gg Y
Per mit#:20070837 Issued: 11/17/2015
Stipulations: Replace existing wood deck on rear of house.
This certificate verifies that the building constructed and/or
the use proposed of the building and/or premises, under the
above permit number and on property described below, does comply
with the Wheat Ridge Building Code and development standards of
the zone district in which it is located and may be occupied.
All other licensing requirements for the City must be met.
Owner: Michal Ann Haywood
3661 GARLAND ST
WHEAT RIDGE CO 80033-5828
Contractor:
For the Following Purpose: Res. Accessory Struc
Code Editions NO change shall be made in the USE of
— 2012 ICC/2014 NEC this building without prior notice
— 2006 ICC/2011 NEC and a new Certificate Of Completion
2006 ICC/2005 NEC from the City of Wheat Ridge,
17"ether
6f'S di-1-d-i-ni-4 —Z—o—nil�ngA�ini�stra�tor
CERT��;ICATE MUST BE POSTED BY FRONT DOOR OF
COMMERCIAL OCCUPANCIES
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Pej,6
Job Address: 31,41 s7`
Permit Number: 03.;'0 3.5rY
,'mod a,,L1;o
❑ No one available for inspection: Time /,9,1 70 AM/PM
Re-Inspection required: Yes /IV ~
"When corrections have been made, call for re-inspection at 303-234-5933
Date: 50A2 inspector: ~27:::
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 090354
roooor_
PERMIT NO: 090354 'ISSUED: 04/15/2009.
JOB- ADDRESS.::. 3661... GARLAND ST EXPIRES: 10/12/2009
DESCRIPTION: Repair :10' of 4" sewerline in front yard
CONTACTS-.***
owner 303/552-8940 Michael Annttaywood '
sub 303/696-9599 Steve. Wakeham 01-9921. Pipeline-Industries,. Inc.
PARCEL' INFO
ZONE CODE: UA : :USE: UA:
SUBDIVISION: 0624 .:..BLOCK/LOT#: 0/
**FEE SUMMARY ESTIMATED' PROJECT .VALUATION: 2,200.00
FEES
Permit Fee 108.30
Total Valuation .00 ~,A,~'CCl~(1E3
Use Tax 39.60
TOTAL 147.90
Conditions:
Subject to field inspections.
I hereby certify that the 'setback distances proposed by this permit application' are accurate, and do not violate app;.cz.)le
ordinances, rules or regulations of the City of wheat Ridge. or covenants, easements or restrictions of record;: that all
measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this.
applrc n nd that I assume full responsibility. for compliance with. the wheat Ridge Building Code (I.B.C) and al: other
rcab Mt Ri g Ordinances, for work under this permit. Plans subject to field inspection.
Sin ure of contractor/owner date
1. This permit was issued in accordance with the. provisions set forth in your application and is subject to t)e laws of _re
!State of Colorado and to the Zoning'. Regulations and Building Codes of wheat Ridge, Colorado or any other apprrca;a e
ordinances of the City.`
2. This permit shall expire 180 days from the issue date. Requests for-:an extension must be received prior to expiration
date. An extension may be granted at the discretion. of the Building Official.:
3. If this permit.. expires, a newr. permit.: may. be acquired for a fee of one-half the. amount normally. required, provided no
changes have been or will. be made' in the original plans, and specifications and any suspension or abandonment has n0(.
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees stall
be paid for. anew permit.
4 No work of any manner' shall be done that will change the natural flow of water caus
5. ( Contractor) shall notify the Building Inspector. twenty-four (24) hours in advance It
:.written approval on inspection card before proceeding with successive phases. of the
6. The issuance.' of a permit: or the approvalN of. drawings and specifications shall not 1
an approval of, any violation of the provisions of the building codes or. any other
All plan review is s /je to field inspections.
Signature of Chief B Official 'date Jr r17'.-J
dGu
INSPECTION RE EST LINE: (303)234-5933 -BUILDING OFFICE: ' (3
REQUESTS MUST. BE MADE. BY 3PM.-ANY BUSINESSr DAY FOR.. INSPECTION 'I
147, 911
jYi' v n _a_
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a City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Building Permit Application
Date: ~1+ 9-t1z1q1.
Plan
Permit 641 G5r)q-
Property Address: 3 L2 (Q l ( zmr 10,E !L-
r--Property Owner (please print):
Mailing Address: (if different than property address)
Address:
Phone:
City, State, Zip: J L-, ry,,_ 4- r "J 7.4 r ^
Contractor:
/'na T-~~ n n
Contractor License M Phone: i3 ~n 7 gs 7 9
Sub Contractors:
Electrical City License
Company:
Exp. Date:
Approval:
Plumbing City License
Company
Exp. Date:
Use of space (description):
Description of work:
I~e~u'~r 5~uer
5erv i ce approx lo' /orlG~ jrl ~~aro7
Mechanical City License
Company:
Exp. Date:
Approval:
Construction Value: $ rZ~~
(as calculated per the BuildiZng Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this. permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
C)RLCE ONE::
(OWNER)
(CONTRACTOR)
or PERSONAL REPRE
T VE of Ot~
NER) (CONTRATOR)
PRINT NAME:
(O I \ l /
. f dkFL,am
1
SIGNATURE:
7
/
(r~
Date:
~IVOIC
L
1PE INE
JOB DATE
30
22
0
-
.
Tp
DUS PTI INC
DATE
PO#
.
P.O. Box 370 • Watkins, CO 80137
L/- / _S__0
9
ESTI TOR
J® 696-9599 1 r
CALLORIGIN
hi C o
Fax(303)671-6871 SERVICEMAN
' 'J061NFORMASION
;BIL~.IflC~. IAIF.47R
MATION.
NAM
1A ME
ADDRESS
ADDRESS
:K (a 0. f 5--t-
-
CITY
STATE
ZIP
CITY
-
STATE
ZIP
i
PHONE
PHONE
DES+>;RIPTIOIk'AkSE VICES"
ESTIMATE
$
1 Q f
e C
ZQQ n
i
f3 7 O E
.1- c
o
h~ l~
OP C hj4e Ca I re P rya e n+
, ~P
r o r
'
WARRANTY Terms of Warranty:
APPROVAL
COMMENTS:
SIGNATU
SUBTOTAL
T
TAX
/
PLEASE PAY
.
®
THIS AMOUNT
ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence repair,
-3110
$
decorative rock, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible
for damage caused by unstable soil, cave-ins or any other unforeseen complications.
ACCEPTANCE
TERMS: Invoices are payable, in full, upon completion of work performed. Any invoice not
OF INVOICE X
SIGNATURE
paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes
necessary to collect any unpaid balance owed, Pipeline Industries, Inc. shall be entitled to
❑ VISA ❑ M/C ❑ AMEX
receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc.
shall be entitled to assert a mechanic's lien for all unpaid materials and labor supplied to
CARD #
EXP
building projects pursuant to Colorado law.
0
APPROVAL #
SAW , A s. 1)
n CASH
F I CHECK #
'-"l.,.,d~IN,.1 "''':''''~' "w' _..,~ .....".. ,'>"'.",., ',"'" _A""'" .,.~_"',,,..,.._'" .J"", ~"i! '?' ..,' .."l,,, " J,\,IIIII""......."""l ~,B~ ~.v 1ll1!!/IIl mrl!~ ",~..,.~,,,lUf11
City "tf Wheat Ridge
Res. Add Structure PERMIT - 070837
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
070837
3661 GAR.LAND ST
Replace existing wood deck
ISSUED:
EXPIRES:
on rear of house.
08/10/2007
02/06/2008
*** CONTACTS...
owner 303/818-8146
Michal Ann Haywood
** PARCEL INFO
ZONE CODE:
SUEDIVISION:
**
R-2
0624
USE:
BLOCK/LOT# :
UA
0/
Permit Fee
Plan Review Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED
FEES
162.90
105.89
.00
90.40
359.19
PROJECT VALUATION:
5,022.00
*. FEE SUMMARY **
Conunents:
Please Note:
~er I contractcr i3 responsible for locating property
hnes and ccn5t",cting improvements according to the
app~ve~plan ""d required development standards.
The CIty IS not responsible for inl!ccurate inf~iY'.lin"
Zliuuuuucu Wluun m.epum set and any constructioa
errors resulliDg from inaccurate infotmation.
TRC: OK
JS: approved as noted. Subject to field inspection.
I hereby certify that the setback distances propos.d by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements. shoWn, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
appli Ie Wheat Ridge Or inances, for work und this permi . Plans subject to field inspection.
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the zoning Regulations;and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.' .
2. This permit shall expire, 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension maybe granted at the discretion of the Building Official.
3. It this permit expires, a neW-permit maybe acqv.ired for a fee of one-half the amount normally required. provided no
changes have been or will be made in the ori9i~1 plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or:if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inepector ~wenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuanceofa permit ,or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of. violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan v subject to field inspections.
date
INSPECT ON REQUEST LINK. (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUS]NESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY,
"~' ~HE.r 1'/
~ 0
- "
" ~
C'ol.OR"'QO
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
MINOR APPLICATION
Building Perm~ Number:
Date:
~
PLAN #6l-02U,
Property Owner: Michal Ann Haywood
Property Address 3661 Garland St. Wheat Ridge, CO 80033
Contractor License No,:
Company:
Phone: 303-818-8146
Phone:
OWNERlCONTRACTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT I Building Deot. Valuation Figure: $ 5'lJZ2, blJ
I hereby certify that the setback distances proposed by this permit application are
accurate, and do not violate applicable ordinances, rules or regulations of the City of
Wheat Ridge or covenants, easements or restrictions of record; that all measurements
shown, and allegations made are accurate; that I have read and agree to abide by all
conditions printed on this application and that I assume full responsibility for compliance
with the Wheat Ridge Building Code (I.B,C) and all other Ipplicable Wheat Ridge
Ordinances, for work under this permit. Plans subject to field' spection.
Value: $
Permit Fee:$
Plan Review Fee:$
Use J'ax:$
(OWNER)(CQNTRACTOR): SIGNED
DATE~
DATE~
Total:$
(OWNER)(CONTRACTOR):PRINTED
-
Use of Space (description):_Replace existing deck
Description of work: Replace existing wood deck on rear of house.
Sq. Ft. adde.(33D
BUILDING DEPARTMENT USE ONLY
SIC:
Sq,Ft.:
ONING COMMENTS~.
Approval:
Zoning: .z.
BUILDING COMMENTS: 1+-( ~ trTJifb
Approval: C::J-'D
PUBLIC WORKS COMMENTS:
Approval.
IRE DEPARTMENT COMMENTS:
Approvai:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Dale:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of
Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the
City,
(2) This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An
extension may be granted at the discretion of the Building OffiClal.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have
been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If
changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive 'vVriIten approval
on inspection card before proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specmcations shall not be construed to be a permit for, nor an approval of,
any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to
field inspections.
City of Wheat Ridge
Building Permit Submittal List
The following items are required for the minor building permit submittal for the
property located at~' (" C\X"\o..nd '(J , If any of the required items are
not included in the submittal, the submittal will be considered incomplete and
returned immediately without review.
Minor permit is defined as: fence installation, signage, decks or covered
patios, concrete work in excess of 500 square feet, sheds, garages and
over the counter permits.
You do not need to submit a site plan with over the counter permits.
This sheet must be submitted with the building permit application. Please initial
beside each required item, signifying that it has been included,
Review Required by: gBuilding D Planning D Public Works
SUBMITTAL DOCUMENTS:
PLANS:
One (1) site plan Contents of plans detailed in the minor permits handout
G(
g'
One (1) Elevations/details page
DOCUMENTATION:
~ One (1) completed building permit application
~ One (1) property deed
~ One (1) building permit submittal list
Call the inspection line before 3 p,m, for a next working-day inspection
City of Wheat Ridge Community Development Department
7500 W. 29th Avenue Wheat Ridge, CO 80033
~g Division - 303.235.2855
Inspection line - 303.234.5933
Planning Division - 303.235.2846
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Recorded at
Reception No.
RECEPTION NO. F1960978
M 2/11/2004 9:59:21 PGI 001-001
PG FEE: 6.00 STATE DOC. FEE: 20.35
RECORDED IN JEFFERSON COUNTY, COLORADO
o'clock
WARRANTY DEED
THIS DEED, Made this 9lh day of February, 2004, between
MICHAEL B. MACDONNELL of the County of JEFFERSON and
State of Colorado, grantor(s), and CONSTANCE S, BENSON whose
legal address is 11880 WEST 30TH PLACE, LAKEWOOD, CO
80215 of the County of Jefferson and State of Colorado, grantee(s):
/\
\
WITNESSETH, That the grantor(s), for and in consideration of the sum of TWO HUNDRED THREE
THOUSAND FIVE HUNDRED AND 00/100 DOLLARS, the receipt and sufficiency of which is hereby
acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and
confinn, unto the grantee(s), her heirs and assigns forever, all the real property, together with improvements, if any,
situate, lying and being in the County of JEFFERSON and State of Coiorado, described as follows:
LOT 9,
REED STREET SUBDIVISION,
COUNTY OF JEFFERSON,
STATE OF COLORADO.
also known as street and number as: 7015 WEST 43RD AVENUE, WHEAT RIDGE, CO 80033
assessor's schedule or parcel number:
TOGETHER with all and singular the hereditaments and appurtenances thereunto beionging, or in any wise
appertaining, and the reversion and reversions, remainder and remainders, rents, issues, and profits thereof, and all the
estate, right, interest, claim and demand whatsoever of the grantor(s), either in law or equity, of, in and to the above
bargained premises. with the hereditaments and appurtenances.
TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances unto the
granlee(s), heirs and assigns forever. And the grlntor(s), for hersell her heirs, and personal representatives, does
covenant, grant, bargain and agree to and with the grantee(s), her heirs and assigns, that at the time of the ensealing and
delivery of these presents well seized of the premises above conveyed, have good, sure, perfect, absolute and
indefeasibie estate of inheritance, in iaw, in fee simple, and have good right, full power and lawful authority to grant,
bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from all former
and other grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature
whatsoever, except general taxes for the current and all subsequent years; except easements, reservations,
restrictions and righl of ways 01 record, if any,
The grantor(s) shall and will WARRANT AND FOREVER DEFEND the above-bargained premises in the quiet and
peacelble possession of the grantee(s), her heirs and assigns, against all and every person or persons lawfully claiming
the whole or any part thereof.
IN WITNESS WHEREOF, The grantor(s) has executed this deed on the date first written above.
/M..L fl(jlh~_~
MICHAEL B. MACDO NELL
STATE OF COLORADO,
County of JEFFERSON
} ss,
The foregoing instrument was acknowledged before me this 9th day 01 Fehrua'1', 2004 by MICHAEL B,
MACDONNELL.
"
'}
My commission expires: June 3, 2004
.f.**.'*...************
~ SRA~ON F, TARP~ .
.. Vlllo" Form s0002CO Rev. 11117/97
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DEPARTMENT OF PLANNING AND DEVELOPMENT
. BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO, 80215
Building Permit Number: . 7596
Date: 8/10/98
.
Property OWner:
Property Address: 3661 Garland
Contractor License No.: 19682
Company: Lakehurst Electric
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDiNG AND AGREEMENT
Phone : 940-1930
Phone: 697 8958
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$2,050,00
$45.00
$0,00
$30,75
$75.75
Construction Value:
Permit Fee :
Plan Review Fee :
Use Tax:
I hereby certify that the setbock dlstences proposed by this perm~ appiication are Iccurate,
and do not violate applicable ordinances, rules or regulations of the C~ of Wheat Ridge or
oovenants, ea..rnents or realriclions of reoord; thet all measurements shown, and aiiegations
made are accurate; that I have read and agree to abide ~ aU conditions printed on this .
application, and that I assume fulll8lponsibility lor oomlance w~ the Wheat Ridge Building
Code (U,B,C.) and all other applicable Wheat Ridge ord nances, for work under this perm~,
Use:
Description :
200 amp 1 phase, 3 wire service, hot tub
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Fl :
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
Expiration Date:
Approval:
Expiration Date :
Approval:
(1) This 0IlIllI_ lsauad I. _ wItll th8 provl.IonS 881 forth In yopur Ippllc8Uon and I. _ to the laws of th8 StIle 01 ~ and 10 the ZOning
~latiI5'ns and Bulldlno Coda of v.l1IIIRIdge, ~ or "01 olh8r IDPlicabll ordlnsneas of tha City,
(2) Thl. parmlt IlhllII expire H (AI the wort< auI10Ifzed Is not commenced wItll)n sixty (150) days from Issue _ or (B) tha bul1ding lulhorIz8d is suspended or
abandoned for 8 period of 120 days.
(3) W thl. parmilaxpil8l, a _ pannU_ be acquired for I lee of _ tha amount normally requllld, provided no chIngaS hi.. been or will be _In th8
oI1glnal plsns and opacIlIc81tons and 101 susoenslon or I_I hi. not axCllded one (1) year, If ching.. 118 mOdI or W suspenoion or lb8ndonment
exCeeds one (1) year, fun feesshaU be paid for a new permit
(451 No work of any manner shaH be done that win c:ha~ the natural ftow of water cau8i~ a d~!ft8ge problem.
( Contractor ohllll notify thI Building Ins_ _-four (24) hours In advanoo for 111_ and shIIl_wrIllIn approvai on Inspactlon canI_
orocaadllngwltll.__oftheiob,
(6) The issuance of a permit or the approval ofdrawinga and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisionS
bu"dln~ codea or 101 olh8r ordinance, law, ,"II or regUlalionw
Chief Building spector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
'?/21('1f':/j;L t/'?AYld&tJ b
~~ G L G,Ai' I..I4IU j) S T
(9td cg- 2-
Company: ,LIlV-.e-tf ,-' ~S T CCL-'=:-Q.. II! (0-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Property Owner:
Property Address:
Contractor License No. :
Phone: 9' ~ 0 I P 3 CJ
Phone : ~9 7 - ~7' -5- :>
I hereby certify that the setback distanc;es proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants. easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application. and that I assume full responsibility for compliance with the VVheat Ridge Building
Code (V. B.C.) and all other applicable Wheat idge ordinances work und his permit.
6i
(OWNERJ(CONTRAC&S~NED
,?<<ll:? hrz.P I t1
Permit Fee:
Me<J
<t 5. '0
Construction Value:
Use Tax:
ATE fl~/o.9/ Use:
Total:
so,oo
Description:
80 8-cbr&:; t600
fI.P7 7cJ i3 6'60 -
...
0' ycJ
BUILDING DEPARTMENT USE ONLY
~~:)I]ln~\jomml!Jlts~
Approval:
Zoning:
~ralnm!3om!llellts;:j
Approval:
~B1~V(O~K~_Omm!!ntS1
Approval:
SIC:
Sq. Fl:
_ Occupancy:
Walls:
Rool:
Stories: ,~
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(0)
This permit was Issued In accordance with ltle pmvisions set forth In yopur application and Is subject 10 the laws of the Slate of Colorado and to the Zoning
Regulations and Buildi~ Code o(Yffleat Ridge. Co4orado 01' any attler applicable ordi~nces of lhe City.
This permit shall expire If (A) the work authonzed is not commenced wrtrun sixty (60) days from Issue dale or (8) the building authorized is suspended 0(
abandoned for a period of 120 days.. .
If this permit expires. a new permit may be aQ:l;ulred for a fee of one-half the amount nonnalty required. provided no changes NvtI been Of will be made in the
onginal plal'\S and specifications and Bny suspension or abandon~nt ~s not exeHded one (1) year, It ehanges are made ()( if suspension 0( abandonment
exceeds one (1) year, full fees shall be paid tor a new permil
No wort( of any manner shall be done that will change the natural now of water causing a drainage problem.
Contractor stlall notify the Building Inspector twenty.lour (2<4) tlou~ in advance for all inspections and shall receive written approval on Inspection card before
proceediing with successive phases ot the Job,
The issuance of a permit or the approval o( drawings and specifications shall not be construed 10 be a permit for, nor an approval of, any vicJqtion of the provisions
of the building codes or any other ordinance, law, rule or regulation.
(1)
(2)
(3)
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRiOR TO INSPECTION
"Please complete both sides of application form with submittal"